Unexplained chronic fatigue
Chronic fatigue is a lasting exhaustion felt for more than 6 months that does not go away with rest. It greatly disrupts daily life and is not caused by an immediately identifiable illness.
People experience extreme fatigue, difficulty concentrating, muscle or joint pain, unrefreshing sleep, and a constant low energy. This can be accompanied by headaches or feeling unwell after exertion.
The causes are often multiple: deficiencies (iron, vitamins), sleep disorders, intense stress, past infections, autoimmune diseases, or hormonal imbalances. A precise diagnosis is essential.
The doctor conducts a detailed medical interview, a physical examination, and orders comprehensive blood tests to rule out other conditions. Sometimes, a sleep assessment or a specialist opinion is required.
There is no single medication. Management relies on a holistic approach: balanced nutrition, stress reduction, cognitive therapies, adapted physical activity, and psychological support.
Consult a doctor if fatigue lasts more than 6 weeks without a clear cause, or if it is accompanied by other symptoms (weight loss, pain, sleep disorders). Medical follow-up is essential to avoid a delayed diagnosis.
Chronic inflammatory diseases
These are long-lasting conditions where the immune system goes into overdrive and attacks the body’s own tissues, causing persistent inflammation. They affect the joints, intestines, skin, or other organs.
Joint pain, morning stiffness, chronic diarrhea, abdominal pain, severe fatigue, skin rashes, or recurrent fevers are common signs depending on the affected organ.
The exact causes are unknown, but there is a genetic component. Some triggering factors include infections, stress, smoking, or hormonal imbalances.
The diagnosis is based on clinical symptoms, blood tests (inflammation markers, antibodies), imaging (X-rays, MRI), and sometimes biopsies depending on the affected organ.
Treatments aim to control inflammation: anti-inflammatory drugs, corticosteroids, immunosuppressants, and biotherapies. Regular monitoring with blood tests is essential to avoid complications.
Good hygiene, an anti-inflammatory diet, gentle exercise, psychological support, and proper information are essential for better daily management of the disease.
Complex metabolic disorders
Complex metabolic disorders include imbalances such as hypertension, abdominal obesity, high blood sugar, and lipid abnormalities. They greatly increase the risk of diabetes, heart disease, and stroke.
Treatment involves lifestyle changes: regular physical activity, a balanced diet, and weight loss. Medications may be necessary to control blood pressure, blood sugar, or cholesterol.
Often silent, these disorders can cause fatigue, a large waist circumference, high blood pressure, and abnormal blood sugar or cholesterol levels.
The diagnosis is based on biological criteria (blood glucose, HDL, triglycerides), blood pressure measurement, and waist circumference. The doctor assesses the number of abnormalities to confirm metabolic syndrome.
The main causes include a rich diet, physical inactivity, chronic stress, genetics, and certain endocrine disorders such as polycystic ovary syndrome (PCOS).
Preventing these disorders starts with a healthy lifestyle from an early age. Regular medical check-ups help detect imbalances early and avoid cardiovascular complications.
Multiple chronic conditions in the elderly
Multiple chronic conditions (MCC) refer to the presence of two or more long-term health issues in an elderly person, such as diabetes, hypertension, arthritis, or heart disease. These conditions often interact and complicate care.
Aging, genetics, poor lifestyle habits, chronic stress, lack of physical activity, unhealthy diet, and delayed diagnoses are key contributors to multiple chronic conditions in older adults.
Treatment requires a coordinated care plan involving multiple specialists. Focus is on symptom relief, avoiding drug interactions, maintaining mobility, and regular checkups to adapt therapies to evolving needs.
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